Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 009520 | GA |
Y | 207KA0200X | Allergist | ME9792 | FL |
NPI | 1619072527 |
---|---|
Provider Name | Dr. Hoyt Horne |
First Address | Perry, FL 32347-2100 |
Second Address | Perry, FL 32347-2100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D57278 | (02) |